Pneumococcal Vaccine

Pneumococcal vaccines are payable once in a calendar year.

• True

• False

Pneumococcal vaccines are subject to coinsurance and deductible.

• True

• False

The correct administration code for the pneumococcal vaccine is:

• G0008

• G0009

• The administration code is already included in the price of the vaccine code.

• Medicare does not pay for the administration.

A physician is required to be present during the administration of the pneumococcal vaccination for the beneficiary to receive coverage under Medicare.

• True

• False

Separate roster bills must be submitted for influenza and pneumococcal vaccines for mass immunization.

• True

• False

An E/M visit can be billed on the same day as a PPV vaccine.

• True

• False

An E/M visit can be billed on the same day as a PPV vaccine.

• True

• False

If a beneficiary is uncertain about their pneumococcal vaccination history, Medicare will cover the revaccination.

• True

• False

A patient can receive an influenza vaccine and a PPV vaccine on the same day during the same visit.

• True

• False

The Medicare Part B payment allowance limits for seasonal influenza and pneumococcal vaccines are 85% of the Average Wholesale Price (AWP) as reflected in the published compendia except where the vaccine is furnished in a hospital outpatient department.

• True

• False